Critical Care

Question 1

how is cam-icu scored?

Answer 1

acute onset and/or a fluctuating course then the first part of the screen is positive. If, in addition to the first part, the patient has an altered level of consciousness (altered RASS) or disorganized thinking the patient is CAM-ICU positive for delirium. The CAM-ICU is listed below:

1. Is there an acute change in mental status or fluctuating course – yes/no
2. Is the patient inattentive or easily distracted – yes/no

If the answer to both 1 & 2 are yes continue to 3 and 4. If either 1 or 2 has an answer of no than the patient does not have delirium per CAM-ICU screen.

3. Is there an altered level of consciousness or RASS other than 0 – yes/no
4. Does the patient experience disorganized thinking – yes /no